Mobile Diagnostic Imaging LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

PENDING Issued in OH

Legal business name

MOBILE DIAGNOSTIC IMAGING LLC

Doing business as

Mdi Mobile Ultrasound

Practice address

120 Springdale Ave
Suite 3
Wintersville, OH 43953-4133

Phone

(740) 266-4908

Fax

(740) 264-4376

NPI assigned

Jul 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

G Shane Wees

Title

Owner

Phone

(740) 266-4908

Specialties & licenses 1

Addresses

Other names 1

• MDI MOBILE ULTRASOUND Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205840063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPRINGDALE AVE",
            "address_2": "SUITE 3",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534133",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPRINGDALE AVE",
            "address_2": "SUITE 3",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534133",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEES",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4908"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDI MOBILE ULTRASOUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Matanzo, DDS
• Vanessa Maurer, MS CCC-SLP
• Lisa A McCourt, PTA
• Medical Services of America Inc (Medi Home Care)
• Jonathan Mihellis, PT
• Mobile Diagnostic Imaging, LLC
• Alyssa Mondarez
• Cortney Renee Morelli, PTA 04889
• Joe Notarantonio, RPH
• Lori A Osso-Connor, PHARMD

• Radiologic Technologist in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.